General Psychiatry   

Questions discussed in this category



Do you defer or avoid use in patients with untreated simple hypertension or other cardiac history?

When using a stimulant, how aggressive are you with an anti-manic mood stabilizer? 

How do you approach this in patients who are approaching or are over 65 given the contraindications of benzodiazepine use in geriatric populations? Wh...

In particular how do you address primarily positive symptoms of somatic delusions, auditory hallucinations and paranoid ideation in patients how do no...

How do you balance the benefits of treating depression versus the risk of transition to mania? Do you consider stopping the medication as soon as the ...

What medications bests treat Intermittent Explosive Disorder?

What are some ways to predict patient report alone may lead to a "false positive" bipolar disorder diagnosis and other psychiatric syndromes are prese...

What medications do you use in patients who already have existing obesity and metabolic syndrome?

Does your approach change when using a long-acting injection antipsychotic with oral antipsychotic medication?

In light of research that suggests SSRIs increase the risk of closed-angle glaucoma, Chen et al., PMID 28257449.

Considering a growing interest in the use of dextromethorphan for depression (Majeed et al., PMID 33682569).

Do you avoid certain antidepressants related to the risks on suppressing respiratory-drive which is potentially concerning in patients with high cord ...

How is it that I'm able to prescribe medications to patients (in my state) via legitimate mail order pharmacies that are located in a different state?...

Would you consider charging a small fee for managing C-2 prescriptions between appointments instead of requiring the patient to come monthly?

Have you found significant differences among SSRIs and SNRIs (e.g., paroxetine vs fluoxetine vs sertraline vs escitalopram vs duloxetine)? What data d...

How have you accessed neurosteroids (allopregnanolone) for patients?

How do you evaluate for time off? Return to work? How do you deal with time off requests in the presence of non-adherence to treatment recommendations...

Do you worry about additional increased risk of seizure for patients using medications to assist in weight loss such as GLP-1 agonists?

I have observed a trend where patients who are being tapered off of long-term benzodiazepine (especially in the geriatric population) prescriptions ar...

Do you use different approaches in different settings (i.e., the ED vs. outpatient clinic)? Do you use different approaches for chronic vs acute suici...

Should one restart lamotrigine or look for an alternative? If no other alternative available, is slow titration vs regular titration preferred?

Do you avoid due to the increased risk of GI adverse events?

There does not appear to be any guidance from the most recent published protocols on this topic. For individuals with dementia, recommendations call f...


Papers discussed in this category


Journal of psychiatric practice, 2018-11

Journal of the American Academy of Dermatology, 2019-05

Med Hypotheses, 2006 Nov 28

J Am Acad Dermatol, 2021 Apr 18

Prog Neuropsychopharmacol Biol Psychiatry,

Antimicrob Agents Chemother, 2008 Nov 17

Headache, 2010-06

Headache, 2012 Jan 30

Neurology, 2019 Dec 02

Headache, 2023 Jan 27

Cureus, 2023 May 11

JAMA neurology, 2018-05-01

Journal of the American College of Cardiology, 2020 Aug 18

Annals of internal medicine, 2024 Jul 02

Oxford medical case reports, 2024 Feb 16

Cureus, 2024 Feb 02

Cureus, 2023 Nov 22

CNS drugs, 2024 Mar 19

Psychiatry research, 2024 Mar 20

Indian journal of psychological medicine, 2019 Mar-Apr

International journal of molecular sciences, 2022 Mar 04

Neurology, 1991 Mar

Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2013 Aug 31

Cureus, 2021 Jan 26

Schizophrenia research, 2017-11

Schizophrenia research, 2019-06

Current opinion in endocrinology, diabetes, and obesity, 2020 Oct

Frontiers in psychiatry, 2022 Jul 06

Clinical toxicology (Philadelphia, Pa.), 2008-09

BMJ case reports, 2017-08-07

The primary care companion for CNS disorders, 2018 Dec 20

Therapeutic advances in psychopharmacology, 2022 May 24

Actas espanolas de psiquiatria, 2016 May 01

Journal of clinical psychopharmacology, 1990-02